目的：探讨Duane眼球后退综合征(Duane'sretractionsysdrome，DRS)的临床特征，并对手术方式进行讨论。方法回顾性总结了26例DRS患者，分析DRS的临床特征、手术方法及结果。结果共统计DRS患者26例（26眼），Ⅰ型内斜视12例，外斜视8例；Ⅱ型外斜视5例；Ⅲ型外斜视1例。10例患者合并内转眼上射和(或)下射现象，其中9例为Ⅱ型和Ⅲ型的患者。3例合并代偿头位。所有病例行患眼内直肌和(或)外直肌后徙术，1例行下斜肌切断术。术后21例患者斜视度数＜10△，10例患者上射和下射现象明显减轻或消失，3例代偿头位改善。结论减弱患眼内直肌和（或）外直肌功能可以改善DRS的临床症状；患眼上射和下射现象多存在于Ⅱ型和Ⅲ型DRS。%Objective To evaluate clinical properties and operation way of Duane retraction syndrome (DRS).Methods Twenty-six patients with DRS seen by the ifrst author between 2002 and 2009 were reviewed ,Pre- and post-surgical deviation, angle of abnormal head position, severity of globe retraction, and upshoots and downshoots were compared. Results Twenty-six patients were all unilateral deviation Duane syndrome . Unilateral types Ⅰ Duane syndrome were 20 cases(12 cases with esotropia, 8cases with exotropia).5 cases were type Ⅱwith exotropia and 1 cases were type Ⅲ with exotropia. 10 cases with upshoot and/or downshoot phenomenon, 9 of them were Type Ⅲ or typeⅡ.9 of them were with compensatory head posture. All cases were underwent Ipsilateral medial rectus and /or lateral rectus recession, improved the head position, narrow palpebral ifssure and globe retraction. After surgery, 21 cases showed horizontal tropia less than 10 prism diopters. All patients with upshoot or downshoot were showed elimination or signiifcantly improved. 3 cases with abnormal head posture were improved. Conclusion The upshoots and downshoots were more common in types Ⅱ and Ⅲ. Weakening medial and/or lateral rectus can improve the clinical manifestations of DRS.
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